Chapter 484: Combination of software and hardware, laparoscopic clinical practice

Style: Science Author: Riding a pig to dig a holeWords: 4641Update Time: 24/01/12 20:04:28
After the evil practices in the equipment department were brutally suppressed, everyone became much better behaved, and Wang Dali was no exception.

Everyone turns stress into chicken blood and puts all their energy into work.

For ultrasonic scalpel, after the transducer is installed, there are many other tasks.

Especially the cutter head, because it is a detachable disposable consumable, it needs to be selected according to the anatomical needs of different departments. There are many types, with more than a dozen types.

The scissor head shapes are linear or curved, with different lengths and thicknesses, and are divided into different models.

There is also an extension hose that can be connected to a matching blade for use in gastrointestinal surgery under flexible endoscopy.

At the same time, in order to better help clinical cost control, it is necessary to continue to improve the algorithm and accurately output energy according to the status of the blood vessels and tissues clamped by the blade, making the operation more precise and cutting and coagulation more efficient.

Since Sanqing has always had the habit of producing portable instruments, Wang Dali even used a new transducer to design a portable wireless ultrasonic scalpel.

Not only is the blade replacement easier, the battery pack can also be reused, greatly improving the convenience of surgical tools.

However, due to the limited battery capacity, this portable ultrasonic scalpel cannot output for a long time, but it is enough for cutting and stopping bleeding in more than ten minutes.

In this way, the first aid kit has added a powerful family member, completely completing the entire medical first aid puzzle.

In the future, doctors will be able to use ultrasonic scalpels to perform simple minimally invasive surgeries in the field, in ambulances, or in disaster relief situations.

While everyone was busy with the ultrasonic scalpel, the product registration certificate for the rigid endoscope came out.

Because these products are relatively mature and are on the product catalog exempt from clinical trials, that is to say, they can be officially launched for sale.

However, Weikang was not in a hurry to sell. Instead, it first selected five sets of high-definition and 4K samples and sent them to Kunming First People's Hospital for clinical use.

He is waiting for the development of ultrasonic scalpel and pneumoperitoneum machine, and plans to launch a grand launch after a complete set of laparoscopic surgery plans are released.

Because the endoscope, whether it is a flexible tube or a hard tube, is a self-developed product of Sanqing, its advantages are not obvious compared with Olympus La.

Only by joining the ultrasonic scalpel with high black technology content and becoming an overall solution provider for minimally invasive surgery can we completely widen the gap and seize the market.

Therefore, after the rigid tube endoscope was completed, the flexible endoscope project also started immediately.

Comparatively speaking, soft lenses are more difficult than hard lenses because it is not only a matter of imaging technology, but also involves mechanical processes.

Whether it is the esophagus or intestines, the diameter is limited, and the part of the hose that extends into the human body cannot be too thick.

If it is too rough, the patient will feel uncomfortable.

Of course, it cannot be too thin, otherwise the viewing angle will be easily limited and it will be difficult for doctors to operate.

Nowadays, most flexible endoscopes have the most common specifications of 1 cm and 4 mm in diameter, which are suitable for the gastrointestinal tract, throat and nasal cavity, bladder and urethra, etc.

Soft lenses used by young children are thinner, generally about 2.7 mm in diameter.

Even though it looks a bit thick at 1 centimeter in diameter, there is a lot to put inside.

A small hose needs a steel mesh for support, a water pipe for rinsing the lens, an optical fiber bundle for light guide, a control cable to control the direction of the front lens, and finally a small pliers , can easily remove polyps.

With so many things stuffed into a one centimeter thick tube, can it not be crowded?

The various parts must be made so small and with such high precision, which greatly tests the mechanical technology and places high demands on the processing plant.

Fortunately, with the rapid promotion of aerospace, semiconductor and other industries, the domestic high-end parts precision processing industry has also achieved vigorous development. Suzhou is also a famous manufacturing province. As long as you are willing to spend money, you can still find suppliers that meet the requirements.

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Kunming First People's Hospital.

Peng Hai came here again for door-to-door service.

This time, there was something wrong with the electronic gastroenteroscope. The hospital called the company directly and had someone come to repair it.

So he was sent over by Lightspeed, and traveling with him was Xiao Zhang, a Mindray equipment representative.

Because the products always had minor problems, doctors complained a lot, so the company sent Xiao Zhang to appease customers and inquire about the hospital's recent purchases.

The job of a medical device representative is actually very difficult. He spends most of a month traveling around various hospitals, getting close to department directors, device chiefs, deans and others, and asking if there are any plans to purchase equipment.

It sounds simple, but it's difficult to do.

No one knew whether the director was in the office when he went to the hospital.

Even in the office, it is possible that he had an argument with his wife today and was not in a good mood, so he just closed the door and thanked the guests.

Even if you are lucky enough to encounter him having a happy day and enter the office, you may get the bad news that he was a step late and the hospital only bought a few pieces of equipment.

Large medical equipment has a long service life. If the hospital does not expand its capacity on a large scale, it will not purchase new equipment within five years.

Therefore, it is very important to know what equipment the hospital is going to purchase.

The two of them arrived at the outpatient clinic building and went straight to the gastrointestinal endoscopy room.

When I entered, I found that there was only one person inside and no one else was there.

"Hello, Dr. He..." Peng Hai just said hello and was rudely interrupted by the other party.

"Xiao Peng, you came just in time to repair it. Why is there always something wrong with your equipment?" Dr. He said with a frown on his face, looking unhappy.

When Peng Hai was about to speak, Xiao Zhang glanced at him and greeted him with a smile on his face.

"Doctor He, it's me, Xiao Zhang from Mindray. It's been a long time since I last saw you. You are getting more and more energetic. Otherwise, let Peng Hai check the equipment first to see what the problem is."

Doctor He waved his hand, and Peng Hai took two quick steps to check the equipment in the corner as if he had been granted amnesty.

Xiao Zhang was very experienced and apologized, which finally made Dr. He's face less ugly.

"By the way, where is Director Zhu? Is he busy recently? Is he in the office today?" Xiao Zhang began to inquire about the director's whereabouts.

Doctor He glanced at him: "What, you still want to ask Director Zhu to sell equipment?"

Xiao Zhang suddenly became energetic: "Dr. He, have you heard any news about procurement?"

Dr. He shook his head: "I don't know anything, but our hospital probably has no shortage of equipment. Every time Sanqing has new equipment, the first sample is sent here."

Xiao Zhang showed a faint smile: "Sanqing's equipment is naturally good, and the capsule gastroscope has a good reputation, but they have just entered the industry and do not have many instruments. Our Mindray products are relatively complete and have everything, don't you think?" "

Dr. He chuckled: "It didn't happen before, but it doesn't mean it won't happen in the future. Two days ago, Sanqing sent another batch of medical laparoscopes. We performed several operations, and the results were very good."

Xiao Zhang's heart rang with alarm bells, and he quickly asked: "Didn't I hear that Sony stopped supplying Sanqing? How can they still manufacture equipment?"

Dr. He said proudly: "You don't know this, right? It is said that I am looking for a domestic imaging chip."

Xiao Zhang's eyes widened: "How good is the effect of this domestic chip? They should be mid-to-low-end products, without 4K imaging or anything like that."

"There are high-end endoscopes with 4K imaging and mid-range endoscopes with ordinary 1080p imaging, and the results are very good."

When Dr. He talked about Sanqing's medical equipment, a smile immediately appeared on his face and he was full of praise.

"Even the director is praising it, saying that the imaging is no worse than Olympus's high-end endoscopes."

"Even the 1080P model has extremely clear images. Yesterday, during an appendicitis surgery, I directly switched it to the highest 2k setting. After the 30-minute surgery, the field of view was very clear and there was no fever problem."

"It seems that after the establishment of the Sanqing Dynasty, domestic products will really rise."

Xiao Zhang felt sour, laughed a few times, and quickly changed the subject: "Why isn't Doctor Huang here? Are there others?"

Dr. He pointed to the door: "We have all gone to the laparoscopic operating room, where the operation is being performed."

Xiao Zhang was confused: "Is it a teaching surgery? Why are so many people going?"

"No, Sanqing's laparoscope has just arrived. The director is so happy to see Lie Xin that he is doing gastric perforation surgery with it."

"As for Lao Huang, they all went to watch."

"Then why don't you go?" Xiao Zhang asked with some confusion.

Dr. He pursed his lips, with a look of pain on his face: "I had an appendicitis operation for two days in a row and made me vomit. I have to take it easy and have a good rest."

Xiao Zhang rolled his eyes and said: "Then I will also go to the stage to watch and see how useful Sanqing's laparoscopy is."

Dr. He looked at Xiao Zhang's badge. He was a certified medical salesman. He usually came to the department when he had nothing to do. He was familiar with everyone. He had no reason to refuse.

So I brought a white coat, put it on Xiao Zhang, and took him to the laparoscopic operating room.

After disinfecting and washing hands, I went in and found that there were many people around the operating table, all of them surgeons, but most of them were general surgeons.

The patient was lying on the operating table, a hole was made in the navel, and Director Zhu was concentrating on the operation.

Xiao Zhang said with a smile: "Single-port laparoscopic surgery is very difficult. No wonder Director Zhu has to do it himself."

Director Zhu coughed lightly and said, "Xiao Zhang is here."

Xiao Zhang looked as happy as if he had met his biological father. He quickly came over, took a few glances, and immediately exclaimed.

"Director, this unique skill of yours is really great. It looks like a feast for the eyes. I dare say that even the director of general surgery at Ruiji Hospital in Haishi is not as smooth as you."

Director Zhu did not react and continued to perform the operation in an orderly manner.

Xiao Zhang's praises were gushing, as if he didn't need any money.

"Director, your surgery is not a medical skill, but an art. I can't bear to blink while watching it, for fear of missing any wonderful moment, which would be a big loss."

"Your movements are so fast. My eyes are so dizzy that I can't keep up with your rhythm. How can you be so powerful?"

"I heard that you showed extraordinary talent for surgery when you were in kindergarten. A big shot like you should really write an autobiography. It will definitely be a great inspiration to young people. At least I want to read it."

"Your blood loss is so well controlled every time. It never exceeds 50 ml. I really don't know how you do it!"

Dr. He, who was not far away, suddenly twitched his mouth and rolled his eyes secretly when he heard these exaggerated flattery.

"The medical representative is really shameless. He is just telling lies. Repairing a gastric perforation, the simplest operation, only requires hands. He just boasted to him that it is as difficult as a heart transplant surgery."

Here, Xiao opened his mouth and kept boasting, but his eyes were looking at the surgery scene on the screen.

Sure enough, the pixels were extremely clear, and the 55-inch large screen was full of blood and bright red.

Not only was it flesh and blood, but it was also moving slowly, as if the patient was being disemboweled right in front of him.

This scene brought a huge impact in an instant, no less than an open surgery.

Even though he has experienced many battles and often appears in the operating room, seeing such a large ultra-clear picture, he still can't suppress the abnormal movement of his stomach.

After watching it for a while, his stomach kept churning, so he had to shut his mouth.

I wanted to look away, but I was reluctant to take this opportunity to observe competing products at close range. I could only close my mouth tightly and watch the endoscopic surgery on the screen seriously.

Fortunately, his flattery performance in the first few minutes was very effective. Even if he is silent now, it will not affect Director Zhu's good mood.

In fact, endoscopic surgery is quite mild. After all, the field of view displayed is limited and only part of the internal organs can be seen.

If it is an open surgery, there will be bleeding and suction, and the fresh internal organs will be exposed, which will have a greater impact on the person.

Xiao Zhang's reaction was so intense mainly because the screen was too big, the images were too clear, and the colors were very bright.

He deliberately got very close, which made him look very dangerous and bloody, which made him feel extremely unbearable.

However, the surgeons next to him looked at the operation scenes with calm faces, and they discussed it from time to time, and the atmosphere was very lively.

Xiao Zhang stared at the picture and kept comparing it with his own product in his mind. He was surprised to find that in terms of picture texture, color and clarity, his own product was a complete failure.

His heart sank. If this was the case, the endoscope would probably be hard to sell.

If it is Olympus, you can also emphasize localization.

But Sanqing, like Mindray, is a domestically produced device, and this advantage has been completely lost.

"Hmph, I don't believe that Sanqing's endoscope is better than Olympus's."

He kept the surgical performance of the three-clear endoscope in mind as much as possible, and planned to go to other hospitals to find an Olympus sample for comparison.

Xiao Zhang and the others arrived relatively late. When they entered the operating room, the operation was already in the second half.

So after half an hour, the operation ended successfully.

Director Zhu finished tying the knot, put down the equipment in his hand with satisfaction, and asked around, "What do you think?"

Xiao Zhang's stomach had recovered a little by this time, and he immediately clapped his hands.

"Oh my God, Director, your surgery is like a top pianist's performance, full of artistry. I really can't wait to watch it for another two hours."

Director Zhu had a stern face and looked a little embarrassed: "I'm asking about the new endoscopic equipment."

Only then did the other doctors speak one after another, and they all talked about it, mostly with compliments.

Director Zhu nodded with satisfaction and walked towards the door of the operating room.

"Let's go, if you need anything, go to my office and talk about it."

Xiao Zhang followed quickly and came to the director's office, just about to speak.

Director Zhu waved his hand and interrupted him: "I know what you mean by coming here. It's not that you don't want to support your company, but to be honest, your company's equipment keeps having problems, and I want to complain to you, Mr. Li. "

Xiao Zhang laughed twice and said a lot of good things, but Director Zhu didn't let go.

Finally, Director Zhu made the final decision and said: "Let's do this. We now have samples of Sanqing for endoscopes. The hospital has no purchasing plans for the time being. I will inform you when there is news."

"As for other equipment, the feedback from other departments is okay. As long as you can convince them, I don't have any objections."

Xiao Zhang knew that he couldn't do anything and had to think about it in the long term, so he could only return in anger.

Within a few days, the news that Sanqing had successfully developed a rigid endoscope spread throughout the industry.

Even Olympus was alarmed.